person
Mark P. Tanenbaum, MD
Cardiovascular Disease Physician in Fairfax, Virginia
NPI 1114929247

Mark P. Tanenbaum is a Cardiovascular Disease Physician based in Falls Church, VA and is specialized in Cardiovascular Disease. Mark P. Tanenbaum practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Mark P. Tanenbaum is 1114929247 and holds a License No. 0101043105 (Virginia).

The current practice location address for Mark P. Tanenbaum is 3580 Joseph Siewick Dr Ste 305, Fairfax, VA and can be reached out via phone at 703-648-3266 and via fax at 703-648-3264. You can also correspond with Mark P. Tanenbaum through the mailing address at 2901 TELESTAR CT., FALLS CHURCH, VA - 22042-1263 (mailing address contact number: 703-591-1688).

Location: 3580 Joseph Siewick Dr Ste 305, Fairfax, VA, 22042-1263
person
Provider Profile Details
NPI Number
1114929247
Provider Name
Mark P. Tanenbaum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3580 Joseph Siewick Dr Ste 305, Fairfax, VA, 22042-1263
Phone Number
703-648-3266
Fax Number
703-648-3264
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
031738500 05 DC
060035106 01 DC RAILROAD MEDICARE DC #
060062627 01 VA RAILROAD MEDICARE VA #
1114929247 05 VA
121300800 05 MD
institution
Provider Business Practice Location Address Details
Address
3580 Joseph Siewick Dr Ste 305
City
State
Zip
22033-1764
Phone Number
703-648-3266
Fax Number
703-648-3264
person
Provider Business Mailing Address Details
Address
2901 Telestar Ct.
City
State
Zip
22042-1263
Phone Number
703-591-1688
Fax Number
703-591-1445
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
0101043105 (Virginia)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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